| NPI | 1538975545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: IL HF13915) |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: IL Hf19315) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |